{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:25:14Z","timestamp":1790810714742,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T00:00:00Z","timestamp":1683158400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Basic Research Program of China","doi-asserted-by":"publisher","award":["2018YFC2002400"],"award-info":[{"award-number":["2018YFC2002400"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012166","name":"National Basic Research Program of China","doi-asserted-by":"publisher","award":["2020YFC2002706"],"award-info":[{"award-number":["2020YFC2002706"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012166","name":"National Basic Research Program of China","doi-asserted-by":"publisher","award":["ZH19027"],"award-info":[{"award-number":["ZH19027"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Hospital Transformation Project of PLA General Hospital","award":["2018YFC2002400"],"award-info":[{"award-number":["2018YFC2002400"]}]},{"name":"Hospital Transformation Project of PLA General Hospital","award":["2020YFC2002706"],"award-info":[{"award-number":["2020YFC2002706"]}]},{"name":"Hospital Transformation Project of PLA General Hospital","award":["ZH19027"],"award-info":[{"award-number":["ZH19027"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Canadian Respiratory Journal"],"published-print":{"date-parts":[[2023,5,4]]},"abstract":"<jats:p>Background. There are very few professional recommendations or guidelines on the needle thoracentesis decompression (NTD) for the tension pneumothorax in the elderly. This study aimed to investigate the safety and risk factors of tension pneumothorax NTD in patients over 75\u2009years old based on CT evaluation of the chest wall thickness (CWT). Methods. The retrospective study was conducted among 136 in-patients over 75\u2009years old. The CWT and closest depth to vital structure of the second intercostal space at the midclavicular line (second ICS-MCL) and the fifth intercostal space at the midaxillary line (fifth ICS-MAL) were compared as well as the expected failure rates and the incidence of severe complications of different needles. We also analyzed the influence of age, sex, presence or absence of chronic obstructive pulmonary disease (COPD), and body mass index (BMI) on CWT. Results. The CWT of the second ICS-MCL was smaller than the fifth ICS-MAL both on the left and the right side (<jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                        <a:mo>&lt;<\/a:mo>\n                        <a:mn>0.05<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>). The success rate associated with a 7\u2009cm needle was significantly higher than a 5\u2009cm needle (<jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>P<\/c:mi>\n                        <c:mo>&lt;<\/c:mo>\n                        <c:mn>0.05<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula>), and the incidence of severe complications with a 7\u2009cm needle was significantly less than an 8\u2009cm needle (<jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>P<\/e:mi>\n                        <e:mo>&lt;<\/e:mo>\n                        <e:mn>0.05<\/e:mn>\n                     <\/e:math>\n                  <\/jats:inline-formula>). The CWT of the second ICS-MCL was significantly correlated with age, sex, presence or absence of COPD, and BMI (<jats:inline-formula>\n                     <g:math xmlns:g=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <g:mi>P<\/g:mi>\n                        <g:mo>&lt;<\/g:mo>\n                        <g:mn>0.05<\/g:mn>\n                     <\/g:math>\n                  <\/jats:inline-formula>), whereas the CWT of the fifth ICS-MAL was significantly correlated with sex and BMI (<jats:inline-formula>\n                     <i:math xmlns:i=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\">\n                        <i:mi>P<\/i:mi>\n                        <i:mo>&lt;<\/i:mo>\n                        <i:mn>0.05<\/i:mn>\n                     <\/i:math>\n                  <\/jats:inline-formula>). Conclusion. The second ICS-MCL was recommended as the primary thoracentesis site and a 7\u2009cm needle was advised as preferred needle length for the older patients. Factors such as age, sex, presence or absence of COPD, and BMI should be considered when choosing the appropriate needle length.<\/jats:p>","DOI":"10.1155\/2023\/2602988","type":"journal-article","created":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T23:05:05Z","timestamp":1683241505000},"page":"1-8","source":"Crossref","is-referenced-by-count":7,"title":["Safety and Risk Factors of Needle Thoracentesis Decompression in Tension Pneumothorax in Patients over 75\u2009Years Old"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1190-4059","authenticated-orcid":true,"given":"Yanhu","family":"Wang","sequence":"first","affiliation":[{"name":"The Second Medical Center and National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9711-9440","authenticated-orcid":true,"given":"Lei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, The First Affiliated Hospital of Xi\u2019an Jiaotong University, Xi\u2019an, Shaanxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8695-941X","authenticated-orcid":true,"given":"Cheng","family":"Chen","sequence":"additional","affiliation":[{"name":"The Second Medical Center and National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2338-0478","authenticated-orcid":true,"given":"Yifan","family":"Que","sequence":"additional","affiliation":[{"name":"The Second Medical Center and National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8441-5499","authenticated-orcid":true,"given":"Yinyi","family":"Li","sequence":"additional","affiliation":[{"name":"The Second Medical Center and National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8072-4165","authenticated-orcid":true,"given":"Jiang","family":"Luo","sequence":"additional","affiliation":[{"name":"The Second Medical Center and National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4585-8732","authenticated-orcid":true,"given":"Ming","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Emergency, The Second Medical Center and National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2131-431X","authenticated-orcid":true,"given":"Miao","family":"Lv","sequence":"additional","affiliation":[{"name":"The Third Medical Center, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6380-3500","authenticated-orcid":true,"given":"Guogang","family":"Xu","sequence":"additional","affiliation":[{"name":"The Second Medical Center and National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","article-title":"National trauma data bank 2016 annual report","author":"quality-programs","year":"2016"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200110000-00022"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2018.02.001"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2014.08.001"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2016.12.011"},{"issue":"6","key":"6","first-page":"545","article-title":"Cardiovascular and respiratory consequences of tension pneumothorax","volume":"22","author":"A. N. Hurewitz","year":"1986","journal-title":"Bulletin Europeen de Physiopathologie Respiratoire"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1080\/10903120801907299"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2018.09.009"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0b013e3181744b03"},{"issue":"5","key":"10","first-page":"140","article-title":"PHTLS (prehospital trauma life support) overseas","volume":"30","author":"W. Chapleau","year":"2001","journal-title":"Emergency Medical Services"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.7205\/milmed.172.12.1260"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0b013e31822d9618"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2003.09.015"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.03.027"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1017\/s1049023x15004653"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.26502\/jsr.10020047"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-019-0623-5"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1080\/10903127.2019.1566422"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2015.11.045"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2011.01159.x"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.11.022"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000239241.59283.03"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1007\/s00101-016-0219-7"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.10.005"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2012.751"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.08.026"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.4103\/lungindia.lungindia_145_18"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.3803\/enm.2020.405"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2017.06.001"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2022.08.004"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0000000000000158"}],"container-title":["Canadian Respiratory Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crj\/2023\/2602988.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crj\/2023\/2602988.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crj\/2023\/2602988.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T23:05:15Z","timestamp":1683241515000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/crj\/2023\/2602988\/"}},"subtitle":[],"editor":[{"given":"Anita","family":"Pye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2023,5,4]]},"references-count":31,"alternative-id":["2602988","2602988"],"URL":"https:\/\/doi.org\/10.1155\/2023\/2602988","relation":{},"ISSN":["1916-7245","1198-2241"],"issn-type":[{"value":"1916-7245","type":"electronic"},{"value":"1198-2241","type":"print"}],"subject":[],"published":{"date-parts":[[2023,5,4]]}}}